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  • Puerto Rico Fundraiser Registration Form

  • Entry fee per person $20 and those who wish to donate may do so at any amount.  Must be insured and at least 18 years of age to compete in this Poker Run.

  • RIDERS INFORMATION:

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  • Rider's Agreement, Discharge, Release & Indemnity Waiver

  • 1.    In consideration of my entry in Puerto Rico Fundraiser, I for myself, my heirs, executors, administrators, and assigns hereby release, discharge and forever hold Lifestyle Entertainment, LLC harmless the organisers of the competition/ride including without limitation Lifestyle Entertainment, LLC, and their volunteers and agents with respect to (and agree to indemnify and keep indemnified the Organisers in respect of any and all loss herein arising as a result of) any and all causes of action, claims (including but not limiting the generality of foregoing, claims for legal costs and consequential loss of life), which I may now have or at any time heretofore had, or at anytime therefore may have or but for the execution of this Release, Discharge and Indemnify, could have against the Organisers with respect to or in any way connected with my participation.

    2.   I agree to abide and be bound by Lifestyle Entertainment, LLC, as varied from time to time governing the Competition. I agree that the fees are non-refundable, and that we are required to promote Lifestyle in our own capacity.

    3.   I recognise the difficulties of participating in this Fundraiser and attest that I am physically fit to compete safely, have trained sufficiently and have not been advised by a qualified medical practitioner not to compete in this fundraiser.

    4.   I acknowledged that this fundraiser involves the real risk of serious injury from various causes including over-exertion, dehydration, accidents, spectators just to name a few.

    5.   I agree to receive and pay for medical treatment including transport by ambulance, which is considered by the Organisers to be advisable and which is provided to me at the request or direction of the Organizers before, during and after this fundraiser. I will practice sound judgement and good decision making during this event.

  • Please select ONE option below that best describes you as the applicant:
  • I acknowledge that I have read, understood and accept the above agreement

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